Reason for admission: Patient with congestive heart failure on supplemental O2 admitted from physician’s office after presenting with lower fever, chills, and cough. CHF increases the patient risk for complications.
Assessment: Lobular pneumonia and acute bronchitis, both due to Mycoplasma pneumoniae
(TIPS: Be sure to distinguish between lobar pneumonia and lobular pneumonia. Remember to assign a Z code for the supplemental oxygen use.)